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NPI Code Detail

MEDICARE: GRETTA MEEKER COUNSELING INC

MEDICARE: GRETTA MEEKER COUNSELING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyP1701222AR

General Provider Information

NPI Number : 1922545029
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRETTA MEEKER COUNSELING INC
Provider Business Mailing Address
First Line : 115 S GARRETT ST
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-3137
Country : US
Telephone Number : 850-982-3549
Fax Number :
Provider Business Practice Location Address
First Line : 2105 S 54TH ST STE 2
Second Line :
City : ROGERS
State : AR
Zip : 72758-8191
Country : US
Telephone Number : 479-268-4557
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MRS. GRETTA L MEEKER
Credential : LPC
Telephone Number : 850-982-3549
Provider Enumeration Date : 01/26/2017
Last Update Date : 01/26/2017

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